K Number
K140366
Device Name
ENDLESSFIBER REUSABLE SURGICAL LASER FIBER
Manufacturer
Date Cleared
2014-08-15

(182 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Hogue Surgical EndlessFiber® SMA-BAR family of medical devices is intended for clinical use in laser surgery procedures for cutting, coagulating, or vaporizing in any soft tissue application for which compatible Nd: Y AG, Ho: Y AG, Diode, and KTP laser systems have been cleared for medical use, provided they are fitted with a launch port aperture compatible with the EndlessFiber® SMA 905 connector.
Device Description
The Hogue Surgical EndlessFiber® Reusable Surgical Laser Fiber is a family of optical fibers that are terminated at one end with industry standard SMA 905 connectors. Each connector is fitted with a collar, a strain relief to the fiber, and a dust cover to protect the mechanically-cleaved fiber endfaces.
More Information

Not Found

No
The 510(k) summary describes a surgical laser fiber and its performance characteristics, with no mention of AI or ML technology.

No
The device is a surgical laser fiber for cutting, coagulating, or vaporizing tissue, which are actions performed during a therapeutic procedure, but the fiber itself is not the therapeutic agent. It is a tool used to deliver the therapeutic energy from a laser system.

No

The device is intended for laser surgery procedures (cutting, coagulating, or vaporizing) in soft tissue, which are therapeutic actions, not diagnostic.

No

The device description clearly states it is a family of optical fibers, which are physical hardware components. The performance studies also focus on physical characteristics like optical transmission and temperature rise.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is for "clinical use in laser surgery procedures for cutting, coagulating, or vaporizing in any soft tissue application". This describes a therapeutic or surgical intervention performed directly on a patient's tissue.
  • Device Description: The device is described as "optical fibers that are terminated at one end with industry standard SMA 905 connectors". This is a component used to deliver laser energy for surgical purposes.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening. This device does not interact with such specimens.

The device is a surgical tool used in conjunction with laser systems for direct tissue manipulation, which falls under the category of surgical or therapeutic devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Hogue Surgical EndlessFiber® SMA-BAR family of medical devices is intended for clinical use in laser surgery procedures for cutting, coagulating, or vaporizing in any soft tissue application for which compatible Nd: Y AG, Ho: Y AG, Diode, and KTP laser systems have been cleared for medical use, provided they are fitted with a launch port aperture compatible with the EndlessFiber® SMA 905 connector.

Product codes

GEX

Device Description

The Hogue Surgical EndlessFiber® Reusable Surgical Laser Fiber is a family of optical fibers that are terminated at one end with industry standard SMA 905 connectors. Each connector is fitted with a collar, a strain relief to the fiber, and a dust cover to protect the mechanically-cleaved fiber endfaces.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Samples of this device and samples of its predicate, in their various sizes, have been compared experimentally for functional (optical transmission) performance. Using the SE flowchart (BB Memorandum #K86-3), the Hogue Surgical EndlessFiber® SMA-BAR family of medical devices has the same intended use and technological characteristics as the legally-marketed predicate (K050738). The device is no less safe or effective and performs as well as the predicate devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

The device has been verified to possess the following safe handling characteristics as confirmed by bench testing @30W @30 minutes @1064nm discharging into air: (a) optical input attenuation of less than 10%; (b) SMA905 connection temperature rise of less than 10°F.

Predicate Device(s)

K050738

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc)

Not Found

§ 878.4810 Laser surgical instrument for use in general and plastic surgery and in dermatology.

(a)
Identification. (1) A carbon dioxide laser for use in general surgery and in dermatology is a laser device intended to cut, destroy, or remove tissue by light energy emitted by carbon dioxide.(2) An argon laser for use in dermatology is a laser device intended to destroy or coagulate tissue by light energy emitted by argon.
(b)
Classification. (1) Class II.(2) Class I for special laser gas mixtures used as a lasing medium for this class of lasers. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 878.9.

0

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

August 15, 2014

Hogue Surgical, LLC Mr. Roger S. Hogue, MD, RVT Chief Executive Officer 7365 Kirkwood Court, North, Suite 350 Maple Grove, Minnesota 55369

Re: K140366

Trade/Device Name: Hogue Surgical EndlessFiber® Reusable Surgical Laser Fiber Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: Class II Product Code: GEX Dated: July 24, 2014 Received: July 29, 2014

Dear Mr. Hogue:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical

1

device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

David Krause -S

  • Binita S. Ashar, M.D., M.B.A., F.A.C.S. for Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
    Enclosure

2

Indications for Use

510(k) Number (if known) K140366

Device Name

Hogue Surgical EndlessFiber® Reusable Surgical Laser Fiber

Indications for Use (Describe)

The Hogue Surgical EndlessFiber® SMA-BAR family of medical devices is intended for clinical use in laser surgery procedures for cutting, coagulating, or vaporizing in any soft tissue application for which compatible Nd: Y AG, Ho: Y AG, Diode, and KTP laser systems have been cleared for medical use, provided they are fitted with a launch port aperture compatible with the EndlessFiber® SMA 905 connector.

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

_ Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

DATEMarch 20, 2014
NAME OF FIRMHogue Surgical, LLC
7365 Kirkwood Ct. N., Suite 350
Maple Grove, MN 55369
510(k) CONTACTRoger S. Hogue, MD, RVT (763) 424-8682
TRADE NAMEHogue Surgical EndlessFiber® Reusable Surgical Laser Fiber
Model Number: HSEF-R-SMA-SMA-xxx-yyy
COMMON NAMELaser Surgery Fiber Optic Delivery System
CLASSIFICATIONClassified by the General and Plastic Surgery Device Panel into Class II, under 21 CFR 878.4810
PRODUCT CODEGEX
PREDICATEK050738
DESCRIPTIONThe Hogue Surgical EndlessFiber® Reusable Surgical Laser Fiber is a family of optical fibers that are terminated at one end with industry standard SMA 905 connectors. Each connector is fitted with a collar, a strain relief to the fiber, and a dust cover to protect the mechanically-cleaved fiber endfaces.
INDICATIONS
FOR USEThe Hogue Surgical EndlessFiber® SMA-BAR family of medical devices is intended for clinical use in laser surgery procedures for cutting, coagulating, or vaporizing in any soft tissue application for which compatible Nd:YAG, Ho:YAG, Diode, and KTP laser systems have been cleared for medical use, provided they are fitted with a launch port aperture compatible with the EndlessFiber® SMA 905 connector.
TECHNOLOGICAL
CHARACTERISTICSCharacteristicK140366K050738
ManufacturerHogue Surgical, LLCFiberTech GmBH (Leoni Fiber Optics, Inc)
Indications for Use"". cutting, coagulating, or vaporizing of soft tissue""". cutting, coagulating, or vaporizing of soft tissue"
Connector TerminationSpecial High Power SMA 905 Connector with Air-gap Well-Type DesignSpecial High Power SMA 905 Connector with Air-gap Well-Type Design
Ferrule AdjustabilityAdjustable ferrule position relative to precision-cleaved proximal fiber endface with set screw to secure ferrule position relative to fiberNon-adjustable, fixed ferrule position relative to mechanically-polished proximal fiber endface with adhesive used to secure ferrule position relative to fiber
Ferrule DesignSurgical Stainless with air-gap, well-type designSurgical Stainless with air-gap, well-type design
Optical Fiber ManufacturerCeramOptec®Unknown
Nominal WavelengthSuitable for 532nm up to 2200 nmSuitable for 532nm up to 2200nm
Optical Fiber Core
Optical Fiber Primary CladdingGlass composition
Fluorine SilicaGlass composition
Fluorine Silica
Optical Fiber Secondary CladdingHard PolymerHard Polymer
Tefzel® ETFETefzel® ETFE
Optical Fiber Jacket
Inner Core Diameter (um)365, 550, 600, 800, 940365, 550, 600, 800, 940
Standard Length (m)3.53.0
Optical Fiber Numerical Aperture0.220.22
Connector CollarColor-coded by fiber sizeColor-coded by device family
Model IdentificationLaser-inscribed on color-coded collarLaser-inscribed on color-coded collar
Max Power into Air (W)3030
Protective CapStainless SteelPlastic
Sold AsNon-Sterile, reusable deviceSterile, reusable; and sterile disposable
Strain Relief Boot SpecificsPlastic Boot secured by friction fitPlastic Boot secured by adhesive
Known technological differencesSpecial High Power SMA 905 Connector can be completely disassembled into its component parts; these differences do not raise safety or effectiveness concerns because the components can be inspected, repaired or replaced to ensure intended device performanceSpecial High Power SMA 905 Connector cannot be disassembled as its components are secured with adhesive
Proximal Fiber EndfaceMechanically cleaved, flatMechanically polished, flat
Distal Fiber EndfaceMechanically cleaved, flatMechanically cleaved, flat
The only known technological differences between this device and its predicate are the optical connector design and the mechanical preparation of the proximal fiber endface (in the optical connector). Bench testing performance data demonstrates that the two types of device are comparable in their performance.
Samples of this device and samples of its predicate, in their various sizes, have been compared experimentally for functional (optical transmission) performance. Using the SE flowchart (BB Memorandum #K86-3), the Hogue Surgical EndlessFiber® SMA-BAR family of medical devices has the same intended use and technological characteristics as the legally-marketed predicate (K050738). The device is no less safe or effective and performs as well as the predicate devices.
BASIS FOR
SUBSTANTIAL
EQUIVALENCE
The device has been verified to possess the following safe handling characteristics as confirmed by bench testing @30W @30 minutes @1064nm discharging into air: (a) optical input attenuation of less than 10%; (b) SMA905 connection temperature rise of less than 10°F. The Hogue Surgical, LLC surgical laser delivery fiber operates in the same manner as the predicate device and performs with no
PERFORMANCE
DATA

4

Section 7: 510(k) Summary